Individual
ERICA SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 NORTH PARK AVE, WELLSTON, OH 45692
(740) 384-5611
Mailing address
2571 SMITH BRIDGE RD, JACKSON, OH 45640-8844
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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